Hello all,
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As a new member this is my first entry and I write in need of help my fellow pods!! I have a woman late 30's who has had unilateral 2nd MPJ for 4mths. Pain is exacerbated in WB and by direct plantar pressure on the 2nd MPJ. Pain is not present with df or pf the toes. Strapping of the foot with met dome worked initailly and still continues to give relief though this is not really a suitable long term option. No hx of trauma and no symptomatic signs of neuroma. No swelling is or has been present and no palpable 'thickness' of tendons etc Orthoses are currently in use. Shoes are not a factor, gait is good and feet are stable, mechanics are very much in 'normal' range. Have tried periods with met domes, met pads, u-shaped pads, in association with massage, traumheel and local into the area. Posterior leg stretches, anti-inflamms etc have all been attempted but with little effect.
She is slightly overweight though the foot itself looks quite normal in appearnace eg no splaying of toes etc. Mild varus in FF with some RF, midfoot eversion but no apparent hypermobility or stiffness in 1st Ray etc.
Out of desperation x-ray and ultrasound but both came back negative.
i am very interested in some further suggestions, if others have come across something similar. Some help my fellow foot lovers??
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